Laserfiche WebLink
L_._.__._��_---._�..�,-----._-- - ...-----DETERMINIIVG PERMIT FEES <br /> [�S�C Cha rge(2014 Rate=52,485A0� S,_ __�___� <br /> (SAC Ch�s•ge must accompazry ali sewer peniiit applicatians tu�tess prepaid} <br /> (Urono City Staff caii deter�tiirte if agplicable) <br /> (If not prep�€id,u sewer connection permit wiI!not be issued} <br /> Q Sewer{'anuectiou/I)isconnect 1 Kepair(SSQ.Q�iPe�•St��b) 5 ��-----� <br /> Pipe size___ _____ ir�ck�es;�uatei-ial_______Schd 40 air tested; cast iron <br /> ❑R'ater Connectiou/Disconuect!RepaQr(550.00/Per•Stnb) S � v <br /> Pipe size______ineties;riiaterial __Schd 40 air tzsted;T._copper <br /> [�VVater A�'AIIA�JIII[f'�Ol�Futu�•e Haok-L'g to Water(S50.U0} �_ <br /> Water Avaikabikih-Exptanntiott: <br /> I Contractor installed i'uie to uiside of house for fith�re l�ook-up. <br /> � This line will be inspected by tt�e Public Vb'oa•ks llepartFiient. , <br /> 1 I <br /> � RecLuired Before_VVatei•Cotuiectioi4 Pe��nit is Issued: '' <br /> i 1. iss�e W'ater Metci•&Ho�n Perraiit <br /> 2. Acry Additiotial Coimectioti Fees�aid(If`Applicab�e) <br /> i <br /> � issue V�'atef�Corinecti�n Peimit: ' <br /> � 1. Co11ecE Peltiuit Fee&Issue l�%ater Connection Penuit <br /> i <br /> i <br /> { c� <br /> i. SL"BTOT�I,ofPeriiut Requested: S I �U � <br /> 2. S'I'ATE SURCHARGE $ S.nU <br /> 3. POSTAGE&HANDLiI�G(Only on lblail-I�i Applications) 5 2.Q0__ <br /> Cv <br /> 4. TOTAL PERli1IT FEE(�c�d L'uies 1-3 Alwt�e) S � � 1 " <br /> ADD�TION!�I, I�V`i��I�NIATION—i7�'r�TER'�TERS <br /> �_.._�_�_____M.�______________._____._..__.� ____v_____.�.., �_--------�. <br /> ■ �'V�TER A'€EZERS cm�st be picked u�.�atad paici foc a4�raFia City HaYI.these�re on a separate penniT. <br /> ■ VVATER 1�1£TERS must be set aud sealed b`� Oi•ono VVatei� Depsrt�rut {952} 2�J-4600, upou <br /> cv�ptetian of ineFer installatiov. <br /> The tuadersi�rieti liereby applies to tlte Cit}' of Orono for issuanic af��L'tiliiy �'ei7uit, a�rees to do <br /> all ev��ork in striet accorcfa�ue with tlie ordinances of ttae City a�id tl�e re�;iilations of the State of <br /> Muuiesot�, a�id ce€-tifies that 1 s ateiiients nlade on tlus application ai�e,n��ie�id coirect. <br /> Applicant• ~ Date: I -Z � — � � <br /> i' <br />